Active NPI
Michael Bauer, OTR/L
- Occupational Therapist
- Fort Morgan, CO
National Provider Identifier
1376057091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0005222
- Practice address
- 1000 Lincoln St # Cs4200
Fort Morgan, CO 80701 - Phone
- (970) 867-6544
- NPI assigned
- Nov 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0005222 | CO | Primary |
Addresses
Primary practice location
1000 Lincoln St # Cs4200
Fort Morgan, CO 80701
Mailing address
442 La Costa LN
Johnstown, CO 80534-9066
Other practice location 1
5201 W 11th St Apt 1211
Greeley, CO 80634-2175
Phone (970) 590-6827
Other practice location 2
442 La Costa Ln
Johnstown, CO 80534-9066
Phone (970) 590-6827
Other practice location 3
442 La Costa Ln
Johnstown, CO 80534-9066
Phone (970) 590-6827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0005222 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bauer Occupational Therapy, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Johnstown, CO
- NPI 1790299410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1376057091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 LA COSTA LN",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805349066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LINCOLN ST # CS4200",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "80701",
"telephone_number": "970-867-6544"
}
],
"practiceLocations": [
{
"address_1": "5201 W 11th St Apt 1211",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806342175",
"country_code": "US",
"telephone_number": "970-590-6827",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "442 La Costa Ln",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "CO",
"postal_code": "805349066",
"country_code": "US",
"telephone_number": "970-590-6827",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "442 La Costa Ln",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "CO",
"postal_code": "805349066",
"country_code": "US",
"telephone_number": "970-590-6827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUER",
"first_name": "MICHAEL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-17",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0005222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Morgan, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.